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Minority Staffing Agency
To register, please take the time to fill out the information below.
First Name
Last Name
Address
City
State
Zip Code
Phone
Job Applying For?
Current Position
Country of Citizenship
SSN
Current Employer
Birthday
Country of Birth
Driver License No:
State ID
High School
Associate Degree
College
College Student
High School DropOut
College DropOut
High School DropOut
Use the below space to list all education completions, schools attended, years, and degree
Use the below space to list your last three areas of employment including company name, type of job, positions, locations, and phone numbers. Current/Previous Employer:
Use the below space to list your last three areas of employment including company name, type of job, positions, locations, and phone numbers. Current/Previous Employer:
Use the below space to list your last three areas of employment including company name, type of job, positions, locations, and phone numbers. Current/Previous Employer:
Have you ever been arrested before Yes___ No____, if yes, please explain for what and charges levied?
I do attest that every information provided is true and can be counterchecked by the Minority Staffing administration.
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